Persistent Carcinoma in Cervical Cancer Screening: Non-Participation Is the Most Significant Cause
Objective: It was the aim of this study to determine the screening history of all invasive cervical carcinomas between 2004 and 2009 in one of the Federal States of Germany. Study Design: The pooled data sets of all in-state laboratories, corrected and supplemented by data of the State Cancer Regist...
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| Veröffentlicht in: | Acta cytologica 2011-01, Vol.55 (5), p.433-437 |
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| container_title | Acta cytologica |
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| creator | Marquardt, Katrin Büttner, Heinz H. Broschewitz, Ulf Barten, Malte Schneider, Volker |
| description | Objective: It was the aim of this study to determine the screening history of all invasive cervical carcinomas between 2004 and 2009 in one of the Federal States of Germany. Study Design: The pooled data sets of all in-state laboratories, corrected and supplemented by data of the State Cancer Registry, were used. The screening histories of all patients, their age and tumor types were collated and analyzed. Results: Of 617 patients with invasive carcinoma of the cervix, 373 (60%) had not had a cervical smear within the past 5 years. In 188 patients (31%), an incomplete screening history was found, whereas only 9% of women had participated regularly. In non-participants, late tumor stages (stage T1B and higher) were predominant and found in 86%. In contrast, in the group with regular screening histories more than half of all cases (54%) were microinvasive carcinomas (stage T1A) with excellent prognosis. Lack of follow-up or refusal of treatment by patients played a minor yet significant role. Conclusions: Non-participation is still by far the most common reason for persistent cases of cervical carcinoma in the German screening program. |
| doi_str_mv | 10.1159/000331811 |
| format | Article |
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Study Design: The pooled data sets of all in-state laboratories, corrected and supplemented by data of the State Cancer Registry, were used. The screening histories of all patients, their age and tumor types were collated and analyzed. Results: Of 617 patients with invasive carcinoma of the cervix, 373 (60%) had not had a cervical smear within the past 5 years. In 188 patients (31%), an incomplete screening history was found, whereas only 9% of women had participated regularly. In non-participants, late tumor stages (stage T1B and higher) were predominant and found in 86%. In contrast, in the group with regular screening histories more than half of all cases (54%) were microinvasive carcinomas (stage T1A) with excellent prognosis. Lack of follow-up or refusal of treatment by patients played a minor yet significant role. Conclusions: Non-participation is still by far the most common reason for persistent cases of cervical carcinoma in the German screening program.</description><identifier>ISSN: 0001-5547</identifier><identifier>EISSN: 1938-2650</identifier><identifier>DOI: 10.1159/000331811</identifier><identifier>PMID: 21986170</identifier><identifier>CODEN: ACYTAN</identifier><language>eng</language><publisher>Basel, Switzerland: Karger</publisher><subject>Adenocarcinoma - diagnosis ; Adult ; Age Factors ; Aged ; Biological and medical sciences ; Carcinoma, Squamous Cell - diagnosis ; Cervical Intraepithelial Neoplasia - diagnosis ; DNA, Viral - genetics ; Early Detection of Cancer - utilization ; Female ; Female genital diseases ; Follow-Up Studies ; Germany ; Gynecologic Cytopathology ; Gynecology. Andrology. Obstetrics ; Humans ; Investigative techniques, diagnostic techniques (general aspects) ; Medical sciences ; Middle Aged ; Neoplasm Invasiveness ; Pathology. Cytology. Biochemistry. Spectrometry. Miscellaneous investigative techniques ; Patient Participation ; Polymerase Chain Reaction ; Prognosis ; Tumors ; Uterine Cervical Neoplasms - diagnosis ; Vaginal Smears - utilization</subject><ispartof>Acta cytologica, 2011-01, Vol.55 (5), p.433-437</ispartof><rights>2011 S. Karger AG, Basel</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2011 S. Karger AG, Basel.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c335t-89f1330fb77c37012a85121818fd8d59cda736ae201bf56de344ca0fa44e1eaf3</citedby><cites>FETCH-LOGICAL-c335t-89f1330fb77c37012a85121818fd8d59cda736ae201bf56de344ca0fa44e1eaf3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,2423,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=24627919$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21986170$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Marquardt, Katrin</creatorcontrib><creatorcontrib>Büttner, Heinz H.</creatorcontrib><creatorcontrib>Broschewitz, Ulf</creatorcontrib><creatorcontrib>Barten, Malte</creatorcontrib><creatorcontrib>Schneider, Volker</creatorcontrib><title>Persistent Carcinoma in Cervical Cancer Screening: Non-Participation Is the Most Significant Cause</title><title>Acta cytologica</title><addtitle>Acta Cytologica</addtitle><description>Objective: It was the aim of this study to determine the screening history of all invasive cervical carcinomas between 2004 and 2009 in one of the Federal States of Germany. Study Design: The pooled data sets of all in-state laboratories, corrected and supplemented by data of the State Cancer Registry, were used. The screening histories of all patients, their age and tumor types were collated and analyzed. Results: Of 617 patients with invasive carcinoma of the cervix, 373 (60%) had not had a cervical smear within the past 5 years. In 188 patients (31%), an incomplete screening history was found, whereas only 9% of women had participated regularly. In non-participants, late tumor stages (stage T1B and higher) were predominant and found in 86%. In contrast, in the group with regular screening histories more than half of all cases (54%) were microinvasive carcinomas (stage T1A) with excellent prognosis. Lack of follow-up or refusal of treatment by patients played a minor yet significant role. Conclusions: Non-participation is still by far the most common reason for persistent cases of cervical carcinoma in the German screening program.</description><subject>Adenocarcinoma - diagnosis</subject><subject>Adult</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Carcinoma, Squamous Cell - diagnosis</subject><subject>Cervical Intraepithelial Neoplasia - diagnosis</subject><subject>DNA, Viral - genetics</subject><subject>Early Detection of Cancer - utilization</subject><subject>Female</subject><subject>Female genital diseases</subject><subject>Follow-Up Studies</subject><subject>Germany</subject><subject>Gynecologic Cytopathology</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Neoplasm Invasiveness</subject><subject>Pathology. Cytology. Biochemistry. Spectrometry. Miscellaneous investigative techniques</subject><subject>Patient Participation</subject><subject>Polymerase Chain Reaction</subject><subject>Prognosis</subject><subject>Tumors</subject><subject>Uterine Cervical Neoplasms - diagnosis</subject><subject>Vaginal Smears - utilization</subject><issn>0001-5547</issn><issn>1938-2650</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpF0c9LwzAUB_AgipvTg3eRXEQ8VPOapk29yfDHYOpgei5Z-jKjWzqTTvC_N3NzngKPT74h30fIMbBLAFFeMcY4BwmwQ7pQcpmkuWC7pBvnkAiRFR1yEML7SuU53yedFEqZQ8G6ZDJCH2xo0bW0r7y2rpkrah3to_-yWs3i1Gn0dKw9orNuek2fGpeMlG-ttgvV2sbRQaDtG9LHJrR0bKfOmnj1N3EZ8JDsGTULeLQ5e-T17val_5AMn-8H_ZthojkXbSJLA5wzMykKzQsGqZIC0vgraWpZi1LXquC5wpTBxIi8Rp5lWjGjsgwBleE9cr7OXfjmc4mhreY2aJzNlMNmGSpZFhJEmmVRXqyl9k0IHk218Hau_HcFrFo1Wm0bjfZ0k7qczLHeyr8KIzjbABViX8bHvmz4d1meFmXcSo-crN2H8lP0W7B55wcpUIYL</recordid><startdate>20110101</startdate><enddate>20110101</enddate><creator>Marquardt, Katrin</creator><creator>Büttner, Heinz H.</creator><creator>Broschewitz, Ulf</creator><creator>Barten, Malte</creator><creator>Schneider, Volker</creator><general>Karger</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20110101</creationdate><title>Persistent Carcinoma in Cervical Cancer Screening: Non-Participation Is the Most Significant Cause</title><author>Marquardt, Katrin ; Büttner, Heinz H. ; Broschewitz, Ulf ; Barten, Malte ; Schneider, Volker</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c335t-89f1330fb77c37012a85121818fd8d59cda736ae201bf56de344ca0fa44e1eaf3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adenocarcinoma - diagnosis</topic><topic>Adult</topic><topic>Age Factors</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Carcinoma, Squamous Cell - diagnosis</topic><topic>Cervical Intraepithelial Neoplasia - diagnosis</topic><topic>DNA, Viral - genetics</topic><topic>Early Detection of Cancer - utilization</topic><topic>Female</topic><topic>Female genital diseases</topic><topic>Follow-Up Studies</topic><topic>Germany</topic><topic>Gynecologic Cytopathology</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Neoplasm Invasiveness</topic><topic>Pathology. Cytology. Biochemistry. Spectrometry. Miscellaneous investigative techniques</topic><topic>Patient Participation</topic><topic>Polymerase Chain Reaction</topic><topic>Prognosis</topic><topic>Tumors</topic><topic>Uterine Cervical Neoplasms - diagnosis</topic><topic>Vaginal Smears - utilization</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Marquardt, Katrin</creatorcontrib><creatorcontrib>Büttner, Heinz H.</creatorcontrib><creatorcontrib>Broschewitz, Ulf</creatorcontrib><creatorcontrib>Barten, Malte</creatorcontrib><creatorcontrib>Schneider, Volker</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Acta cytologica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Marquardt, Katrin</au><au>Büttner, Heinz H.</au><au>Broschewitz, Ulf</au><au>Barten, Malte</au><au>Schneider, Volker</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Persistent Carcinoma in Cervical Cancer Screening: Non-Participation Is the Most Significant Cause</atitle><jtitle>Acta cytologica</jtitle><addtitle>Acta Cytologica</addtitle><date>2011-01-01</date><risdate>2011</risdate><volume>55</volume><issue>5</issue><spage>433</spage><epage>437</epage><pages>433-437</pages><issn>0001-5547</issn><eissn>1938-2650</eissn><coden>ACYTAN</coden><abstract>Objective: It was the aim of this study to determine the screening history of all invasive cervical carcinomas between 2004 and 2009 in one of the Federal States of Germany. Study Design: The pooled data sets of all in-state laboratories, corrected and supplemented by data of the State Cancer Registry, were used. The screening histories of all patients, their age and tumor types were collated and analyzed. Results: Of 617 patients with invasive carcinoma of the cervix, 373 (60%) had not had a cervical smear within the past 5 years. In 188 patients (31%), an incomplete screening history was found, whereas only 9% of women had participated regularly. In non-participants, late tumor stages (stage T1B and higher) were predominant and found in 86%. In contrast, in the group with regular screening histories more than half of all cases (54%) were microinvasive carcinomas (stage T1A) with excellent prognosis. Lack of follow-up or refusal of treatment by patients played a minor yet significant role. Conclusions: Non-participation is still by far the most common reason for persistent cases of cervical carcinoma in the German screening program.</abstract><cop>Basel, Switzerland</cop><pub>Karger</pub><pmid>21986170</pmid><doi>10.1159/000331811</doi><tpages>5</tpages></addata></record> |
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| source | Karger Journals; MEDLINE; Alma/SFX Local Collection |
| subjects | Adenocarcinoma - diagnosis Adult Age Factors Aged Biological and medical sciences Carcinoma, Squamous Cell - diagnosis Cervical Intraepithelial Neoplasia - diagnosis DNA, Viral - genetics Early Detection of Cancer - utilization Female Female genital diseases Follow-Up Studies Germany Gynecologic Cytopathology Gynecology. Andrology. Obstetrics Humans Investigative techniques, diagnostic techniques (general aspects) Medical sciences Middle Aged Neoplasm Invasiveness Pathology. Cytology. Biochemistry. Spectrometry. Miscellaneous investigative techniques Patient Participation Polymerase Chain Reaction Prognosis Tumors Uterine Cervical Neoplasms - diagnosis Vaginal Smears - utilization |
| title | Persistent Carcinoma in Cervical Cancer Screening: Non-Participation Is the Most Significant Cause |
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